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The clinical approach to neurophysiology 

The clinical approach to neurophysiology
Chapter:
The clinical approach to neurophysiology
Author(s):

Kerry R. Mills

DOI:
10.1093/med/9780199688395.003.0018
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date: 28 November 2020

The clinical approach to neurophysiology provides a scheme for the conduct of a neurophysiological examination from the initial contact with the patient to the provision of a final report. The importance of focused history-taking and physical examination in tailoring the test plan is stressed as is the necessity of maintaining rapport with the patient. The difficult issues of consent and what to tell the patient at the end of the examination are discussed. The importance of honest communication with the patient is highlighted. Test results are judged against a framework of normal values. The statistics of defining such reference values and the many factors that may influence them are covered. Finally, there is a discussion of the safety of neurophysiological procedures with suggestions as to how to mitigate against the main risks, such as bleeding diathesis in EMG and seizures with transcranial magnetic stimulation.

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